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1131882

registered interest
date	12/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	General Practitioners
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many single-handed GP practices there are in each Clinical Commissioning Group area in England.
tabling member printed	Lord Bradley
uin	HL16300
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The number of general practitioner (GP) practices which recorded a single headcount GP as of 31 March 2019 for each clinical commissioning group in England is attached.</p> answering member printed Baroness Barran question first answered 25/06/2019 14:33:06 answering member 4703 label Biography information for Baroness Barran attachment 1 file name HL16300 Single handed GP practices in England CCGs .docx title Single-handed GP practices in each England CCG
tabling member	452 label Biography information for Lord Bradley

1131897

registered interest
date	12/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Food Standards Agency: Public Appointments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government when they intend to approve the appointment of a Chief Executive for the Food Standards Agency; and what has been the cause of the delay.
tabling member printed	The Countess of Mar
uin	HL16315
answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The appointment is subject to the approval process which governs the Civil Service Commission Recruitment Principles. An announcement will be made once that process has concluded.</p> answering member printed Baroness Blackwood of North Oxford question first answered 26/06/2019 12:11:36 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1861 label Biography information for The Countess of Mar

1131898

registered interest
date	12/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	International Life Sciences Institute
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, following the publication of the study on the International Life Sciences Institute "Are industry-funded charities promoting “advocacy-led studies” or “evidence-based science”?, whether they classify the International Life Sciences Institute as an industry lobby group or a scientific health charity.
tabling member printed	The Countess of Mar
uin	HL16316
answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The Department funds research via the National Institute for Health Research (NIHR). The NIHR does not itself classify any organisation in terms of charitable status or lobby group. The NIHR regards a charity as a specific type of voluntary organisation which must conform to the regulations set out in charity law particularly the Charities Act 2011. Charity is a legal status for an organisation, not a legal form or organisational structure.</p><p>Any organisation which considers that it can carry out high-quality clinical, applied health or social care research is likely to be eligible for Departmental, NIHR-funded research programmes, either directly or with a partner. There are specific guidance documents setting out eligibility criteria for the NIHR’s programmes which include information on partnership working, funding mechanism and contractual obligations including reporting and disclosure of conflicts of interest.</p> answering member printed Baroness Barran question first answered 26/06/2019 13:13:51 answering member 4703 label Biography information for Baroness Barran
tabling member	1861 label Biography information for The Countess of Mar

1131915

registered interest
date	12/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Food: Imports
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the preparations of the Food Standards Agency regarding implementing any new legislation that may be required for imported products after Brexit.
tabling member printed	Lord Taylor of Warwick
uin	HL16333
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>As a non-Ministerial Government Department responsible for food safety and authenticity, the Food Standards Agency (FSA) has been preparing extensively for the United Kingdom’s departure from the European Union. This includes:</p><p> </p><p>- ensuring EU regulations will operate correctly when they become UK law;</p><p>- strengthening its risk analysis process;</p><p>- developing a clear plan for how risk will be managed; and</p><p>- finalising the systems and technology that will support how food businesses are regulated in the future.</p><p> </p><p>Leaving the EU does not change the FSA’s top priority which is to ensure that food remains safe and what it says it is.</p><p> </p> answering member printed Baroness Barran question first answered 25/06/2019 14:33:26 answering member 4703 label Biography information for Baroness Barran
tabling member	1796 label Biography information for Lord Taylor of Warwick

1131484

registered interest
date	11/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Pharmacy
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to increase the role of community pharmacies (1) in promoting self care, and (2) as a first point of contact recognised in contractual frameworks.
tabling member printed	Baroness Redfern
uin	HL16278
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>In terms of promoting self-care, community pharmacy contractors are already obliged by the community pharmacy contractual framework to provide advice and support to enable people to derive maximum benefit from caring for themselves or their families. NHS England and Improvement have been running the Help Us to Help You campaigns which educate the public on the ability of community pharmacies to help the public and patients with their needs relating to self-care and minor illness.</p><p>In 2016, Public Health England (PHE) introduced profession-led self-assessment for attainment of healthy living pharmacy (HLP) level 1 status. This was followed by the introduction of a quality payment for HLP level 1 status attainment. As a result, there has been an increase in the numbers achieving HLP status. There are now more than 9,500 community pharmacies already accredited as HLPs, each with qualified health champions promoting health and wellbeing messages, helping to prevent people from becoming ill and maintaining the health of those that are already ill in their communities.</p><p>PHE is developing an HLP framework for commissioners which can be used when commissioning public health services to ensure consistency of delivery across the country, due to be published in spring 2020. These services help to further increase the role of community pharmacy in prevention and improving health.</p><p>In terms of community pharmacies as a first point of contact, the HLP initiative is also relevant.‎ In addition, since December 2017, NHS England and NHS Improvement has been piloting the Digital Minor Illness Referral Service. This is a service that allows referrals from NHS 111 to community pharmacies for advice and support for minor illnesses and health concerns. The outcome for the patient, if they attend the pharmacy for a consultation with the pharmacist, may be either to receive advice alone or advice with access to medicines through a private sale of an over the counter medicine or potentially a medicine supply through a locally commissioned minor ailment scheme. In November 2018, the pilot was expanded to include London, Devon and the East Midlands., in addition to the North East.</p><p>Since 2016, the NHS Medicines Supply Advanced Service has been piloted. This is service manages a referral from NHS 111 to a community pharmacy where a patient has contacted NHS 111 because they need urgent access to a medicine or appliance that they have been previously prescribed on a National Health Service prescription.</p><p>Furthermore, the Department, with NHS England and NHS Improvement, has now begun negotiations with the Pharmaceutical Services Negotiating Committee to determine the new Community Pharmacy Contractual Framework for 2019/20 and beyond. These are confidential negotiations and as such we are unable to provide further detail at this time.</p><p><strong> </strong></p><p> </p> answering member printed Baroness Barran question first answered 25/06/2019 14:34:57 answering member 4703 label Biography information for Baroness Barran
tabling member	4551 label Biography information for Baroness Redfern

1131485

registered interest
date	11/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Pharmacy
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to build on the benefits of the Healthy Living Pharmacy framework and to increase the role of community pharmacies in the prevention of ill-health.
tabling member printed	Baroness Redfern
uin	HL16279
answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>Both the NHS Long Term Plan and the Prevention is Better than Cure vision document, published in November 2018, set out an ambition for community pharmacy to take on an expanded role to support the prevention of ill-health. In 2016, Public Health England (PHE) introduced profession-led self-assessment for attainment of Healthy Living Pharmacy (HLP) level 1 status. This was followed by the introduction of a quality payment for HLP level 1 status attainment within the community pharmacy contractual framework. As a result, there has been an increase in the numbers achieving HLP status. There are now 9,562 community pharmacies in England, meeting standards set out by Public Health England and delivering a wide range of lifestyle and public health interventions. For example, to support national Smile Month. 74,563 pharmacy staff across England have passed an assessment of knowledge on children’s dental health and have taken part in a mandatory campaign to reduce oral health inequalities, to improve oral health in children under five.</p><p>In line with this, the NHS Long Term Plan outlines an aim for voluntary sector partners, community pharmacists and general practitioner practices to work together to facilitate opportunities for the public to check on their health, through tests for high blood pressure and other high-risk conditions. The Department is now developing a Green Paper on Prevention to further work up this ambition and plans for delivering it. This will be published later this year.</p> answering member printed Baroness Barran question first answered 25/06/2019 14:35:18 answering member 4703 label Biography information for Baroness Barran
tabling member	4551 label Biography information for Baroness Redfern

1127908

registered interest
date	21/05/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Diabetes: Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether an assessment has been made of the potential benefits of including a mental health professional with knowledge of diabetes in every diabetes care team.
tabling member constituency	Ealing Central and Acton
tabling member printed	Dr Rupa Huq
uin	257109
answer	answer is ministerial correction date of answer 29/05/2019 answer text <p>It is for individual clinical commissioning groups to commission treatment and services for people with diabetes and they are best placed to identify what is needed in their local areas.</p><p>On 21 March 2018, NHS England and NHS Improvement along with the National Collaborating Cenre for Mental Health published ‘The Improving Access to Psychological Therapies (IAPT) Pathway for People with Long-term Physical Health Conditions and Medically Unexplained Symptoms’.</p><p>IAPT services provide evidence based treatments for people with anxiety and depression and the services are co-located in existing primary and secondary care physical health pathways. IAPT services will target the needs of people with depression and anxiety disorders who also have long-term conditions such as diabetes.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 29/05/2019 13:39:35 answering member 4455 label Biography information for Seema Kennedy
tabling member	4511 label Biography information for Dr Rupa Huq

1126321

registered interest
date	13/05/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Gender Dysphoria: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they intend to publish the results of the research project started in 2011 by the NHS Gender Identity Development Service Early pubertal suppression in a carefully selected group of adolescents with gender identity disorder; and if not, whether they will arrange for the data gathered by that study to be made available to other researchers.
tabling member printed	Lord Lucas
uin	HL15681
answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>The research is an ethically approved study being carried out by the Tavistock and Portman NHS Foundation Trust since 2011, which is the largest provider of services for the alleviation of gender dysphoria in the United Kingdom.</p><p>The study will evaluate early pubertal suppression in a carefully selected group of adolescents with a clinical diagnosis of gender dysphoria. There are 44 young people taking part in the study.</p><p>The Tavistock and Portman NHS Foundation Trust has plans to publish the data <ins class="ministerial">on the blocker and cross-sex hormones, for those who were appropriate for this, as</ins><del class="ministerial">once</del> all of the young people in the study have reached <ins class="ministerial">this</ins><del class="ministerial">the</del> stage<ins class="ministerial">.</ins> <del class="ministerial">when a clinical decision is made about moving from pubertal suppressants to cross-sex hormones, which the Trust expects to occur in the next 12 months.</del></p> answering member printed Baroness Blackwood of North Oxford question first answered 22/05/2019 14:51:30 question first ministerially corrected 31/07/2019 15:30:59 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 119577 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1879 label Biography information for Lord Lucas